| NPI | 1447812136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R250132) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309228-01) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2025-01-14 |